LIS Premium Summary

Extra Help, Low Income Subsidy (LIS), program.

Extra Help, or LIS, is a government program that helps cover prescription drug costs for certain eligible Medicare beneficiaries with limited incomes, including monthly premiums, annual deductibles, and prescription co-payments. The amount of subsidy depends on your income compared to the Federal Poverty Level and resource limitations set by the Social Security Act.

Call or go online to check your Extra Help eligibility.

Medicare:

• 1-800-Medicare (800-633-4227) (TTY/TDD users call 1-877-486-2048), 24 hours a day/7 days a week

Social Security:

• 1-800-772-1213 (TTY 1-800-325-0778) Monday through Friday, from 7AM to 7PM
• Or apply online at www.socialsecurity.gov/extrahelp

Best Available Evidence

If you believe you qualify for Extra Help and are currently paying an incorrect amount for your prescription drugs, we can help. Please contact Member Services at the phone number listed on the back of your ID card. We’ll explain how to provide us with evidence that meets CMS’ Best Available Evidence (BAE) policy for Extra Help.

Learn more about CMS’ BAE policy at: www.CMS.gov

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